AAA Vantage Health Plan* | Vantage Plus Individual Bronze

Vantage Plus Individual Bronze is an Obamacare health insurance plan offered by AAA Vantage Health Plan* that is available for individuals and families.

This plan is a POS, meaning you will require a primary care physician to manage your care like in an HMO, but you will have more flexibility than in an HMO to go out-of-network. (Learn more about POS plans.)

This plan is a Bronze metal level plan, which generally has a lower monthly cost but higher annual deductible (and co-pay), and provides basic insurance coverage for people who do not spend regularly on health care (i.e., doctors, prescription drugs, etc.).

Deductible amount of Not Applicable. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

Max out-of-pocket of $7,150, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.

Who is this plan for?

This plan with a lower monthly cost is great for healthy individuals and families who rarely, if ever, visit the doctor or use prescription drugs. The low deductible on this plan means you won't have to pay as much money out of pocket for medical care and prescriptions before your insurance kicks in. The very high out-of-pocket maximum on this plan means you could be faced with a very expensive medical bill if an emergency happens.

HealthCare.com is a privately-held website for healthcare consumers operating since 2007. We’re not the government marketplace.

Highlights

Emergency Room:

60% Coinsurance after deductible

Retail Drugs:

60% Coinsurance after deductible

Generic Drugs:

60% Coinsurance after deductible

Overview

Plan Type:

POS

Metal Level:

Bronze

Health Spending Account:

No

Primary Care Office Visit:

$45

Specialist Office Visit:

$80

Out of Network Coverage:

Yes

Out of Country Coverage:

Yes

Coverage Details

Preventive Care

Periodic Health Exam

In Network:

No Charge

Out of Network:

No Charge after OOP Max is reached

Well Baby Care

In Network:

No Charge

Out of Network:

No Charge after OOP Max is reached

Inpatient

Hospital Services

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Physician Fee

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Skilled Nursing Facility

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Mental Health

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Substance Abuse

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Home Healthcare

In Network:

60% Coinsurance after deductible

Out of Network:

Not Applicable

Outpatient

Surgery

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

X-ray and Diagnostics

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Labs

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Facility Fee

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Mental Health

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Substance Abuse

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Rehabilitation Services

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Maternity/Pregnancy

Pre & Postnatal Care

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Labor and Delivery Inpatient Services

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Dental

Accidental Care

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Basic Dental Care (Adult)

In Network:

50% Coinsurance after deductible

Out of Network:

50% Coinsurance after deductible

Basic Dental Care (Child)

In Network:

50%

Out of Network:

50%

Dental Checkup (Child)

In Network:

No Charge

Out of Network:

No Charge

Major Dental Care (Adult)

In Network:

50% Coinsurance after deductible

Out of Network:

50% Coinsurance after deductible

Major Dental Care (Child)

In Network:

50%

Out of Network:

50%

Orthodontia (Child)

In Network:

50% Coinsurance after deductible

Out of Network:

50% Coinsurance after deductible

Vision

Eye Exam (Child)

In Network:

$80

Out of Network:

No Charge after OOP Max is reached

Glasses (Child)

In Network:

50%

Out of Network:

No Charge after OOP Max is reached

Additional Coverage

Chiropractic Care

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Habilitation Services

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Rehabilitation Services (Speech)

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Rehabilitation Services (Occupational Therapy)

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Hospice Service

In Network:

60% Coinsurance after deductible

Out of Network:

Not Applicable

Diabetes Care Management

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Durable Medical Equipment

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Hearing Aids

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Nutritional Consuleling

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Reconstructive Surgery

In Network:

60% Coinsurance after deductible

Out of Network:

No Charge after OOP Max is reached

Doctor Visits

Primary Care Visit

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Specialist Visit

In Network:

$80

Out of Network:

No Charge after OOP Max is reached

Other Practitioner Office Visit

In Network:

$45

Out of Network:

No Charge after OOP Max is reached

Preventative Care / Screening / Immunization

In Network:

No Charge

Out of Network:

No Charge after OOP Max is reached

Emergency Room and Urgent Care

Emergency Room Services

In Network:

60% Coinsurance after deductible

Out of Network:

60% Coinsurance after deductible

Urgent Care Services

In Network:

$80

Out of Network:

No Charge after OOP Max is reached

Ambulance/Transportation Services

In Network:

60% Coinsurance after deductible

Out of Network:

60% Coinsurance after deductible

Drugs

Generic Prescription

In Network:

60% Coinsurance after deductible

Out of Network:

Not Covered

Retail Brand Drugs

In Network:

60% Coinsurance after deductible

Out of Network:

Not Covered

Non Retail Brand Drugs

In Network:

60% Coinsurance after deductible

Out of Network:

Not Covered

Specialty Drugs

In Network:

$150 Copay after deductible

Out of Network:

Not Covered

Additional Plan Information

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only.
Your monthly premium may change based on the data provided, outside fees, optional benefits
or if other factors take effect before your coverage start date. Note that insurance companies
reserve the right to change your premium rate and the policy terms at any time. Effective date,
benefit amounts and other conditions may apply at the discretion of the insurance carrier you select.
Depending on your state of residence, this website may not display all plans available by state.
The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy
eligibility may differ. Access to your physician depends on network selected, and networks can
change without notice. Contact your health insurance company to confirm your healthcare provider
is still available in the network you select.